Tessier-Kay Madeleine, Beltrami Eric, Sinha Shivani, Feng Hao
Department of Dermatology, University of Connecticut Health Center, Farmington, Connecticut, USA.
Department of Dermatology, Boston Medical Center, Boston, Massachusetts, USA.
Pediatr Dermatol. 2025 Mar-Apr;42(2):326-330. doi: 10.1111/pde.15833. Epub 2024 Dec 2.
Patients may rely on health insurance physician directories to determine who is in-network and inaccuracies in these directories may lead to delayed access to treatment, unexpected out-of-pocket costs, and increased barriers to care. This cross-sectional study quantifies the accuracy of state-specific Medicaid directories regarding board-certified pediatric dermatologists, and compares physicians listed accurately with those listed inaccurately by type of practice and region of practice. The accuracy of all state Medicaid physician directories was 84.7%. Most states with board-certified pediatric dermatologists had directories that contained inaccuracies and directory accuracy varied significantly by practice type, but not region of practice.
患者可能会依赖医疗保险医生名录来确定哪些医生属于网络内医生，而这些名录中的不准确信息可能导致治疗延迟、意外自付费用以及增加就医障碍。这项横断面研究量化了特定州医疗补助名录中关于获得委员会认证的儿科皮肤科医生的准确性，并按执业类型和执业地区比较了准确列出的医生与不准确列出的医生。所有州医疗补助医生名录的准确性为84.7%。大多数有获得委员会认证的儿科皮肤科医生的州，其名录都存在不准确信息，名录准确性因执业类型差异显著，但不因执业地区而异。
